title: Flow-dependent channel formation in clots by an erythrocyte-bound fibrinolytic agent.
abstract: Studies in animal models have shown that plasminogen activators bound to erythrocytes (RBC-PA) have an extended lifetime in the circulation and are safer than free PAs. RBC-PAs incorporate into nascent thrombi, which are focally lysed from within, an attractive thromboprophylactic option. In static systems, RBC-PAs cleave surrounding fibrin fibers, forming pores larger than the cells themselves, and move around the pore edges, enlarging them until eventual clot dissolution. We hypothesized that under flow in blood vessels, RBC-PAs form functional patent channels before clot dissolution. Here we used perfusion chambers to study clot lysis by RBC-PAs under static versus arterial and venous flow conditions. We found that flow decelerates bulk clot lysis but quickly generates patent channels filled with passing RBCs, via pore enlargement and merging in the direction of flow. Formation of such channels by RBC-PAs may help rescue ischemic tissue before bulk dissolution of potentially occlusive clots.
authors.affiliation: Department of Cell & Developmental Biology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
authors.forename: Kathryn C
authors.initials: KC
authors.lastname: Gersh
authors.forename: Sergei
authors.initials: S
authors.lastname: Zaitsev
authors.forename: Douglas B
authors.initials: DB
authors.lastname: Cines
authors.forename: Vladimir
authors.initials: V
authors.lastname: Muzykantov
authors.forename: John W
authors.initials: JW
authors.lastname: Weisel
mesh_terms: D000818:Animals; D001777:Blood Coagulation / Q000187:drug effects* / Q000502:physiology; D004912:Erythrocytes / Q000187:drug effects / Q000502:physiology; D005343:Fibrinolytic Agents / Q000494:pharmacology*; D018056:Hemorheology; D006801:Humans; D066298:In Vitro Techniques; D051379:Mice; D018613:Microscopy, Confocal; D008954:Models, Biological; D010960:Plasminogen Activators / Q000494:pharmacology
chemical_list: D005343:Fibrinolytic Agents; D010960:Plasminogen Activators